Cross-national comparisons of human resources for health - what can we learn?
Cross-national comparisons of human resources for health - what can we learn?
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DOI：
10.1017/s1744133105001027
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发表时间：
2006-01-01
影响因子：
1.7
通讯作者：
Mckee, Martin
中科院分区：
文献类型：
--
作者：
Dubois, Carl-Ardy;Mckee, Martin
在长期被忽视之后，卫生人力资源问题最近已成为国际卫生议程的一个核心组成部分，决策者越来越渴望学习其他地方的经验。本文系统地研究了与使用跨国比较人力资源政策和实践相关的机遇和挑战。它回顾了支持在人力资源方面使用国际比较研究的证据，讨论了制定跨国研究议程以指导欧洲人力资源政策的新机会，并强调了可能阻碍人力资源比较研究实施的障碍。这篇文章虽然说明了比较方法为增进对卫生部门人力资源进程的了解提供了许多机会，但也强调了过分简单化地要求转让人力资源政策而不考虑具体情况因素和社会行为者在设计和执行政策变化时的生产能力的危险。
After a long period of neglect, the issue of human resources for health (HRH) has recently emerged as a core component on the international health agenda, with policy makers increasingly eager to learn from experience elsewhere. This article investigates systematically the opportunities and challenges associated with the use of cross-national comparisons of HRH policies and practices. It reviews the evidence in favour of using international comparative studies on HRH, discusses emerging opportunities for developing a cross-national research agenda to guide HRH policies in Europe, and highlights obstacles which may hinder the implementation of comparative studies on HRH. While demonstrating many opportunities offered by the comparative approach to improve understanding of human resources processes in the health sector, this article also emphasizes the dangers of simplistic pleas for the transfer of human resource policies without taking into account the context-specific factors and the generative capacity of the social actors in the design and implementation of policy changes.